SAT Prep Class Registration Form

Print, complete, & mail along with a $50 deposit to:

Hampton Roads Educational Consulting, LLC

200 City Hall Ave., Suite B

Poquoson, VA 23662

Student Name:_____________________________________________

Class Selected (Tuesday or Wednesday):_____________________

Student Grade:____________________________________________

School Student is Attending:________________________________

Parent/Guardian Name:_____________________________________

Contact Information for Parent/Guardian:

Address:___________________________________________________

___________________________________________________________

e-mail:_____________________________________________________

Telephone Numbers :

Home:_____________________________________________________

Work:_________________________Cell:________________________

How did you hear about this class?:___________________________

If you were referred by someone, please tell us who so we can

reward him or her with a free College Planning Consultation: 

___________________________________________________________ 

Thank you!